CMS Price Transparency Data

Speech therapy (group session)

Facility: Deaconess Illinois Crossroads

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $88
  • Cash Discount Price: $72
  • vs. Medicare Baseline: 3.66x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Deaconess Illinois Crossroads is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 3.66x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$72

Average discount available for prompt cash payment at this facility.

Insurance Median
$88

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$24.05

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $24.05 (100%)
Cash / Self-Pay: $72 (299%)
Insurance Median: $88 (366%)
Cash: $72 (299% of Medicare)
Ins. Median: $88 (366% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $24.05 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 366% of the Medicare baseline (a markup of 266%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $22 - $257 91%
Blue Cross Blue Shield $22 - $155 91%
Humana $22 - $254 91%
Meridian Health Plan $22 - $23 91%
Molina Healthcare Of Illinois $22 - $23 91%
Mytru Advantage $22 - $23 91%
Umwa $22 - $23 91%
UnitedHealthcare $22 - $189 91%
Wellcare $22 - $23 91%
Care Improvement Plus $23 96%
Alliance Coal $31 - $37 129%
Deaconess Onecare $34 - $179 141%
Alter-Net Medical Services, Inc. $36 - $114 150%
Noncontracted $36 150%
Self-Pay $37 - $72 154%
Cigna $41 - $127 170%
Hope Trust $64 - $114 266%
Prime Health Services $79 - $244 328%
Guardian Resources, Inc. $88 - $274 366%
Healthcare'S Finest Network (Hfn) $89 - $277 370%
Medicalcontrol Network Solutions $89 - $277 370%
National Provider Network $89 - $277 370%
Three Rivers Provider Network $91 - $283 378%
Beech Street $92 - $287 383%
Wexford Health Sources $147 - $228 611%
Encore Prime/Elite/Elite + $179 - $185 744%
Encore Combined $199 - $205 827%
Great West Healthcare Of Illinois $244 1015%
Multiplan - Primary Network - Phcs $256 1064%
Healthlink $261 - $277 1085%
Coventry Healthcare $274 1139%
First Health $274 1139%
Multiplan - Complementary Network $278 1156%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals